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of this implementation was really to create information and technology exchanges in every part of the country. and they are focusing most specifically on critical access, hospitals and on small providers. knowing that the l to have a big i.t. department or have people who could implement this in a sfiio of time were not there. so in every state there are individuals who are sort of, i compared them to the farm extension services, folks were on the ground literally, office to office, hospital to hospital, spend time on how to convert what the best strategies are, how did engaged and involved. and we found at least in a state like kansas, which is not terribly different from the challenges i think that you see in your state, that that strategy has been enormously effective. and small providers are engaged and enrolled with those extensions operations, and find them to be kind of their service team on the ground. >> the only thing i would say, i hope that as we move forward with this, that the focus really will be on issue of interoperability we've asked questions numerous time of the committee
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